Individual
CRYSTAL MARCO
Active
Individual
CRYSTAL MARCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
PC015349
PA
101YP2500X
Professional Counselor
Primary
PC015349
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PC015349
STATE BOARD OF SOCIAL WORKERS, PROFESSIONAL COUNSELORS, AND MARRIAGE AND FAMILY
PA
Enumeration date
02/06/2023
Last updated
02/06/2023
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